NAEOTOM Alpha Cardiac VB10 Upgrade Video - USA

Welcome to the training for Neotom Alpha VB10 software. Upgrade for. Cardiac Scanning In this training you will learn about the new scan protocols, the new scan mode options, the new reconstruction options, and the new quantum HD cardiac scan modes. We will start with the new scan protocols included in the VB 10. Software. 1st. The default. Coronary CTA protocols have added a lateral. Topogram. This is to ensure isocentering of the heart is done instead of the. Thorax. To make this easier. For you. Fast positioning is now available. With these protocols and 2nd a new protocol, lung screening and coronary calcium scoring is now also available. Now let's discuss these in more detail. In all coronary CTA protocols, the default factory protocol will now include a lateral toprogram after the AP toprogram. Keep in mind this is for all coronary. CTA protocols. To include coronary CTA, coronary CTA function and coronary CTA stent. The lateral toprogram is used to isicenter the heart. This is to ensure proper image quality is acquired in cardiac scans. To make this easy for you, fast positioning has been added to this protocol. This means that after the lateral toprogram is done, you will get a move request automatically. Pressing the move button on the control unit will adjust the table height to ensure the heart will be ISA centered. As you can see in this example, the heart is now in the ISA Center. With the VB10 software. A new protocol, lung screening and coronary calcium scoring has been added. This protocol is an ECG gated flash scan and has the feature Flash Face spiral applied. Since this scan is a screening exam, it combines the established Tin mode for lung screening and also a mono energetic plus 70 Kev reconstruction for calcium score evaluation. This exam is one flash scan that you would typically do for lung screen, but now we cardiac gate this exam which allows you to do a calcium score in the same scan. This protocol is in the thorax section of the protocol selection. This new protocol you will set up as a flash chest, but now with a cardiac reconstruction over the heart in this example. You can see that the scan is only a half a second scan time. This protocol. Utilizes the quantum tin scan. Mode to keep the. Dose very low while maintaining a high image quality for screening and calcium scoring purposes. You also have the flash phase spiral feature in this protocol. This is used to ensure that the. Flash scan will be timed and gated to the heartbeat of the patient. The line in the top program lets you set where you would like the phase start to be in the physio scan. Option. You may also change the phase you wish the heart to be in. The default is set to 65% for all calcium scoring needs. As you can see in the reconstructions, full chest and lung recons are available for screening purposes of the lungs. Lung CAD is also. Available for. Detection of lung nodules. There is also a reconstruction for automatic calcium scoring of the coronary vessels. Now let's discuss the new scan mode options for cardiac scanning. There is a new scan mode in the list of available cardiac scan modes. This new. Scan mode is for retrospective spiral scans and has the keyword elevated in the scan mode. Name this scan mode. Is available. For both quantum plus and quantum scans. This scan mode will increase the applied radiation dose during the low dose plateau from 10% of the dose to 25%. In the elevated scan mode, the low dose plateau will now be increased to 25% of the applied radiation during the pulsing. This will now improve the overall image quality of the phases that are in the low dose plateau areas. If you wish to not use 25% then you can select the scan mode without the keyword elevated and have the lower 10% DOS applied. Looking at the ECG trace, the section on the left is the non elevated standard scan mode and has a lower plateau shown. The section on the right is the elevated scan mode and has a slightly higher green plateau. Let's now discuss the new reconstruction options with the upgrade. To VB10 software customers with cardiac packages. Will have. The ability for a new reconstruction technique. Called Z Free cardiac imaging is challenging and misalignments may occur. They occur due to improper acquisition or patient breathing. Often they are harmless and just aesthetically unpleasant. In very minor cases they can also affect diagnosis if the misalignment is right at the stenosis level and a true stack Recon is not available. Zfree is a. Revolutionary reconstruction feature which automatically delivers cardiac CT scans without stack misalignments originating from breathing or patient movement. This feature works independent of the detector width of the acquired data. Zfree is a detector with independent cardiac reconstruction feature it. Allows the reconstruction of ECG gated. Spiral or. ECG triggered sequence data with alignment of stacks originating from separate cardiac cycles or patient breathing. This is realized by the reconstruction of separate stacks of images for each contributing cardiac cycle, followed by a non rigid registration step. This step is based on the available overlapping image data between neighboring cardiac cycles. This feature is a Scanner integrated reconstruction option which you can manually enable. Or disable if you were to compare a standard, a true stack and AZ free reconstruction from an exam with patient motion or breathing misalignment, a standard could be blurry at the edges of the stacks leading to less clinical confidence, especially if the stack arises at a point of stenosis. In a true stack reconstruction, each stack is shown in full coverage and the anatomy is repeated 20% in each stack. You can still make a diagnosis, but reading is more cumbersome. With Z Free, images are aligned optimally to demonstrate the morphology as intended. Z Free works independently from the number of stacks or detector width. Let's now look at some actual cardiac images. Since Z Free is available on also Maris 10 cardiac capable scanners, we have this data set from the new Pro Pulse dual source scanner in the standard Recon and the Truestack. You can see the misalignment from Patient Motion. Now you see the Z Free reconstruction and the benefits of this revolutionary reconstruction feature without the misalignment. Here is one more example of how Z Free can improve the ease and accuracy of reading in cardiac imaging, all while being independent from the physical detector width of the acquired data. To recap, Z Free is a scanner integrated reconstruction feature which reduces the stack misalignments. This feature is independent from the physical detector width of the acquired data. Z Free is available for both. Perspective sequence and retrospective spiral scans. You can apply it to. All Recon types that is best phase, single phase or multi phase reconstructions. You can find Z free in Physio Recon under the Stack Recon option. The last section to discuss is the new Quantum HD Cardiac scan modes. This new scan mode is for Quantum HD Cardiac and therefore is only available in the coronary CTA stent protocol. This new scan mode now gives full spectral capabilities to the Quantum HD cardiac scans. This means that you can have cardiac scans with the ultra high resolution reconstructions of 0.2mm. Only now in addition, you can have spectral reconstructions as well, such as a pure lumen or an. SPP. This scan mode is identified with the keyword RESEARCH at the end of the scan mode name. The scan mode without the. Keyword research. Will continue to be a non spectral scan since. This new scan mode is spectral. It is only available in Quantum Plus scan modes. This new fully spectral quantum HD cardiac scan mode uses the collimation of 96 by 0.2mm keep. In mind that for all spectral reconstructions such as. Pure lumen VNCSPP that these reconstructions will need to have a slice thickness no smaller than 0.4mm and a kernel sharpness 76 and below all. Quantum HD reconstructions such as a 0.2mm slice thickness or kernels above a 76 sharpness will need to. Be at. 3D Reconstruction. And lastly, these new scan modes with the keyword research are turned off by default. If you would like to use these new scan modes, you must go into the exam designer and check them on under accessible scan modes. Thank you for your attention during this training. Don't forget you can always revisit these trainings in the future. It may be helpful to watch these again after you're on site applications training.

55 60 15 10 2.9 11/02/2023 140 0.8 13.9 1/02/2023 2.1 9. 9.9 76 3.00 1.50 0.51 22 20.0 0.00 559 350 65 5. 11 12 13 160 64 131 25.5 12.85 13. 16 17 18 19 20 21 23 25 75 66 24 26 27 28 0.4 0.40 29 30 50 0.20 31 SIEMENS . Healthineers Cardiac Scanning VB10 Upgrade Template Effective Date: 10 Aug 2021 | HILS 2223 Effective Date: 1 Jul 2024 | QR700008108 Unrestricted I Published by Siemens Healthineers AG | @ Siemens Healthineers AG, 2024 Table of Contents New scan protocols New scan mode options New reconstruction options . New Quantum HD cardiac scan modes NOTE: Examples and clinical images shown in this video were acquired using a variety of systems including SOMATOM Pro.Pulse and SOMATOM X.cite. Default factory protocols Protocol: Coronary CTA [factory] · All Coronary CTA protocols have added a Protocol Description -Indications: identification, quantification of calcified Topograms lateral topogram. lesions in the coronary arteries, wo CM; stenosis of the coronary arteries, w CM Fast positioning now available to isocenter Examination Information Calcium Scoring: -Scan Modes: Premonitoring the heart. Monitoring PremonitoringSequenceAdultQuantum2d, CTA Coronary HR variability and HR Calcium Scoring now also available. Protocol: Lung Screening and Coronary Calcium Scoring [factory] -Indications: masses, tumor, metastases, lymphoma, lymph nodes, tuberculosis, empyema, infection, earty Lung visualization of pulmonary nodules, screening of the lung. identification and quantification of calcified lesions in the coronary arteries, wo CM -Decision Trees: Coronary Calcium Scoring HR variability range [factory], Coronary CTA HR variability and HR New protocol Lung Screening and Coronary -Contrast Protocols: Coronary CTA [factory] 2023.11.02-10:08:47-STD-Trauma Scan Recon * 11/18/1858 (164) O 2023.11.02-10:08 :... Coronary CTA [facto ... Recon Ranges myExam Compass FF supine FF FF right Length 512 CTDivol SPR (32 cm) 0.01 mGy 0.74 mGy*cm mA Sn 100 Exposure Time Check metal detection Reconstruction 60 bpm Min: 60 Max: 60 Confirm patient position Confirm OK Cancel 2.9s 10:31 AM FF supine FF prone FF right EN mm syngo CT VB10A TOP 201 MA 1 Preconditions CTDIvol (32 cm) 0.66 mGy SSDE (18.1 cm) 1.26 mGy DLP 10.3 mGy*cm 0.28 s Check image quality 10cm Close KV Sn1 40 mA 55 Press confirm to continue. GO Press MOVE - to change table height 2 IMA 1 TI 2 85 2.1s New Scan Protocols Lung Screening and Coronary Calcium Scoring Browse Protocols Physiological Signal · ECG-gated Flash Phase Spiral scan mode. · As a screening exam, it combines the established Sn mode for lung screening and a Monoenergetic Plus 70 keV reconstruction met for Calcium Score evaluation. . One low-dose flash scan to obtain both a Lung Screening and a Calcium Score in the Unrest same scan. Replace . Protocol is in the thorax section. AM Topogram 10/24/1953 (70) M 9ffcc887-513c-47ce ... Lung Screening and ... (32 cm) 0.61 mGy Reconstructions Recon&GO Image Impression Auto Tasking Inline Options Kerne Lung 3.00 Qr36 Q2 70% CaSc Cardio 10:54 AM NAEOTOM Alpha TOP 101 CTDIvol (32 cm) 0.61 mGy SSDE (15.7 cm) 1.30 mGy 20.0 mGy*cm Eff. mAS 0.51 s KV Sn100 Filter Sn Physio Recon Recon Favorites General Recon Recon Box Scan/Recon Slice Thickness Increment Window@120kV FAST Planning Inline Results Multi Recons Width Cardiac - Heart Wide CT CaScoring High table speed - increased sto ... Simulator IMA 1 LEN 287 9 kV Dose Timing Config Contrast CARE Dose4D CARE keV IQ level CARE keV CTDivol [mGy] SSDE [mGy] Dose Notification Shaped Filter & CARE keV optimized for Grouping DLP [mGy"cm] Full Auto (Bone/Calciu ... off (32 cm) 0.61 (15.7 cm) 1.30 Narrow Cance min Phase Start Phase Unit Phase Start Phase Unit . Chest reconstructions in both soft tissue and lung kernels available Thin fixed axial lung kernel Lung CAD available Calcium score Inline Results with automatic 10:55 AM scoring available New Scan Mode Options Elevated Scan Mode CardiacDualsourceSpiralAdultAngioQuantumplusElevated New scan mode for retrospective spiral scans Scan Favorites General Scan / Scan Mode · Keyword Elevated added to scan mode name . Increases low dose plateau from 10% of the radiation CardiacFlashSpiralAdultAngioQuantumplus CardiacDualsourceSequenceAdultAngioWideFlexQuantumplus dose to 25% · Available for both Quantumplus and Quantum scans * 10/24/1953 (70) M 9ffcc887-513c-47ce ... syngo CT VB10 FF supine FF prone FF righe Calcium Scoring Physio Scan Decision Trees CTDIvol [mGy] [mGy"cm] Auto (Vascular) (32 cm) 8.71 16.8 cm) 17.5 Confic 11:56 AM Standard pulsing Elevated pulsing 10% dose plateau in ECG Effective Date: 20 Feb 2024 | QR700004913 is Unrestricted I Published by Siemens Healthineers AG | C Siemens Healthineers AG, 2024 New Reconstruction Options ZF ZeeFree New Reconstruction Options What you have What you want Real-world challenge With patient breathing How ZeeFree works This is based on a non-rigid registration step. This step is The enabled by the available algorithm overlapping image data tries to between neighboring cardiac minimize the cycles. difference between the stack overlaps. The complex algorithm ensures that everything aligns. Standard vs. TrueStack vs. ZeeFree Comparison between different recons Standard (blended) Blurry at the edges of stacks leading to less clinical confidence, especially when the stack arises at a point of stenosis. TrueStack Each stack is shown in full, and anatomy is repeated 20% in each stack. You can still make a diagnosis, but reading can be more cumbersome. Aligned optimally to demonstrate the morphology as intended. Works independently from the number of stacks or detector width. Courtesy of Deqing People's Hospital, Huzhou, China Coronary CTA in a high-risk patient Standard Image type Curved MPRs 0.8 mm | Bv40 | Admire 4 SOMATOM Pro.Pulse HR 60 | 70 kVp | CTDIvol 3.91 mGy SOMATOM X.cite high-risk patient ZeeFree coming to all SOM X cardiac scanners SOMATOM X.cite Standard reconstruction Courtesy of Diagnostikum Linz, Linz, Austria TrueStack reconstruction ZeeFree reconstruction ZeeFree is a new reconstruction method · ZeeFree is a scanner-integrated reconstruction feature, which reduces the stack misalignments. This feature is independent from the physical detector width of the acquired data. It is available for both Prospective Sequence and Retrospective Spiral scans. You can apply it to all recon types, that is, BestPhase, Single Phase or Multi Phase. You can find ZeeFree in Physio Recon under the StackRecon option. Recon Type Phase(s) StackRecon Temporal Resolution [ms] Documentation CTA Coronary 5.00 Bv40 Q3 BestDiast long a ... CTA Coronary 5.00 Bv40 Q3 BestDiast short ... BestPhase (diastolic) on Off New Quantum HD Cardiac Scan Modes New Scan Mode Quantum HD Cardiac - Research CardiacDualsourceSpiralAdultAngioHighresultraQuantumplusResearch · Available in the Coronary CTA Stent protocol Protocol: Coronary CTA Stent [factory] New Quantun range [factory], Coronary CTA HR variability and HR Stent [factory] plus Full spectral capabilities with Quantum HD CardiaProtocol: Coronary CTA Stent [factory] New keyword Research added to scan mode namedications: identification, quantification of calcified Available for Quantumplus only General Scan Decisi Full spectral capabilities with Quantum HD Cardiac New keyword Research added to scan mode name Collimation 96 x 0.2mm Acquisition [mm] CARE DOse4D Recon Favori ... Image Impre ... Spectral reconstructions available in standard (0.4mm) reconstruction parameters Spectral Recon Window@ i.e. Pure Lumen, VNC, SPP etc. CTA Coronary 0.40 Qr40 Q3 BestSyst thin SPP None Card Monoenergetic Plus VNC lodine Pure Calcium Pure Lumen T3D All Quantum HD (0.2mm) recons continue to be a T3D be a T3D Image Impre ... / odine Kernel Accessible Scan Modes Strategy Review ScanplanningTopoAdultQuantu ... CardiacFlashSpiralAdultQuantu ... Coronary Calcium Scoring HR v ... Coro Coronary CTA HR variability and ... Coro Research scan modes are hidden by default. You must turn them on in the Exam Designer. Engineering success. Pioneering healthcare. Thank you for your attention Please note this learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively "Operator Manual") issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively "Functionality") may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of utility model or design, are reserved. Unrestricted | Published by Siemens Healthineers AG | C Siemens Healthineers AG, 2024 Siemens Healthineers HQ I Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com SIEMENS